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Author Topic: Bilateral knee surgery  (Read 9928 times)

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Offline Chapstick4

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Bilateral knee surgery
« on: June 04, 2012, 07:27:19 PM »
Hello everyone, not happy to join this board but glad its here lol. I had a accident playing basketball and ruptured my patellar tendon on my right leg and my Quadriceps tendon on my left leg. I had Surgury on both 4 weeks ago. I had three anchors put in each patella and had them reatached that way instead of the diilling threw the patella to use as the anchors. I still have 2 more weeks before I can start to bend my knees. I have been wearing braces since the surgery to keep me from bending. I have been able to bear weight since the surgery as tolaroted with the braces on. In two more weeks I get to start beinding my knees in the bed to start to get motion back but will still have to wear the braces to walk for 2 more weeks. After that I will start rehab. My question is for anyone who has had a Bilateral injury as to how long the recovery is going to take. I work in a chemical plant in the states and have to go up and down several flights of stairs several times during my shift. I am hopeing to get back to work within 6 months and wondering if that will be possible.

Offline Zlou58

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Re: Bilateral knee surgery
« Reply #1 on: June 04, 2012, 09:40:04 PM »
Hey brother. I too have bilateral. But both patella tendons. Same with braces. I have hospital bed I spend most my days. Sucks!  PT will take about six months I'm guessing to walk up n down steps. I am three weeks post op. are you able to get ur self in n out of bed. I am unable and I hate it!!!  Any ideas would be fantastic. I am starting pt some time next week...I'll keep posting.

Offline Chapstick4

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Re: Bilateral knee surgery
« Reply #2 on: June 04, 2012, 10:20:05 PM »
In the last week or two it's has gotten easier for me to get up and down. I also have a hospital bed in my living room and it does suck haha.  My bedroom and my baths and showers are all upstairs so I take showers on my screened porch with a water hose lol. I have been able to walk with my braces since about the third day after surgery (but with a lot of leg pain in the one I did the quad tendon) but its not bad now. The doc said I could walk as much as I could tolerate as soon as surgery was over, with the braces of course. Why could we not be like normal people and just tear up one leg at a time lol. I have put a video on YouTube after every week updating my progress. If your interested in seeing them just serch for "quadriceps, patellar tendon bilateral knee surgery"

Offline Zlou58

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Re: Bilateral knee surgery
« Reply #3 on: June 05, 2012, 01:22:40 AM »
Loved the YouTube posts. Dude. Explain how the hell you get outa the bed??!!!!??  Also, do you do quad sets and such now!?  I am three weeks out of surgery doing them all day. Anyway. Idea on how to get out bed would be GREAT. Also. Does ur doc think you'll rupture the patella again. I will say its hard to do unless you go and fall again. Ha. I ruptured my first one in December. Then fell off a step doing BOTH knees now. Sucks but gotta solider through it!

Offline Chapstick4

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Re: Bilateral knee surgery
« Reply #4 on: June 05, 2012, 04:21:12 AM »
I took video of how I get up on my latest YouTube video. I put the link below for you. As for the quad sets no I am doing nothing yet. My doc does not want me to do anything but walk when I can for the first 6 weeks. He did tell me that the Petella tendon could rupture again if I tried to take things to fast because it was a bad tear and more ragged then my quad rupture. Hope the video helps you, makes it hard with two leg braces lol.

http://www.youtube.com/watch?v=GLwjDymq79c

Offline Pauljohno

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Re: Bilateral knee surgery
« Reply #5 on: December 08, 2012, 06:10:57 PM »
Late into this forum, I did the double in late August 2012.
Slipped whilst making my way down a wet river bank, banging my left knee with my fishing chair.
Sat down for a wiggle and a knee rub, thought I was Ok to stand up, but when I did this bugger went and the following big slip took both of Quad tendons out.
I was on a camping holiday in Hereford and after a big effort on my arse through the bankside nettles I managed to get to the top of the bank where I was found, by luck by my wife, the first dog walker of the morning.

They told me at the Hereford A & E bascially what I had done and gave me the option of them doing the op's or travelling back to Hull by ambulance.
Keen to get them back on ASAP and not fancing the long journey back home I had my op in Hereford.

Must say the post op care in Hereford or lack of was shocking, they just wanted me out and home and gave me no re-hab etc., during the week I was there waiting first for Hull to have a bed and then for Hereford to get an ambulance to get me back.

Since coming back home I can't complain re the care and re-hab I have been given, re-hab started as soon as I came back to a Hull hospital.
I have a background in sports and exercise and have a good idea of what exercises to do etc. The phiz's can't believe how I have come on as I do everything they ask and more. In braces for 8 weeks and started load baring after 6 weeks, now at week 14 ish I can walk OK without any crutches or a stick. Still use them outside the house, mainly as my confidence is shot. Only downside was when I developed a proximinal DVT in my left leg at around week 8. The DVT forums make not good reading as to the long-term effect of DVT's.

Still trying to get the full operation notes from Hereford, I have seen what was sent through to Hull and these are shocking, not much more than Mr Johnson had an operation >:(
I and the specialist's in Hull have no idea what procedures were done or if they found any other damage etc.
They suggested that I write to Hereford myself ::) god love the NHS.

Currently every day is a roller coaster, of adjusting my gait according to what muscles I have worked the day before.
Trying to re build some Quad strength whilst re activating the rest of the essential muscles needed.
Accept that until I get my quads back to something like, that we will not know what inbalences need working on. Do not really have any pains in or around my knees and those I do have tend to shift around depending on the day.

I hope as I go along to be able to pick some brains on here and once I know were I am help in the inbalence journey.

Still think it is funny that with one knee quad rips they use the good knee as a guide to set the broken one, god knows how they did it without a good knee to match to. ::)

Offline PeteBiLatIssue

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Re: Bilateral knee surgery
« Reply #6 on: December 19, 2012, 06:59:32 PM »
Hello all. I too broke both my Quad tendons almost simultaneously.(June 9th, 2012) Complications with straightening my leg pushed me into getting a second opinion. My doctor kept telling me this was normal that I could not straighten my leg all the way. He kept saying it is a strength issue. Even when I stood with all of my weight off of my leg and my leg dangling straight, it would strangely not be able to straighten. Here is my story.

I am a very active person. I have been working out and training since my junior year in high school. I turned 40 this year. I have two young kids who love to run and play with me as much as I can. I got laid up in the hospital last year with pneumonia and almost lost my life to ARDS(November 2011). A simple bacterial infection from my sinuses untreated got real bad. Amongst all the other stuff with my lungs, I got a few blood clots and they kept me on Coumadin for 6 months following. The last day I was off Coumadin is when it happened. I had started back to the gym the week before and felt great. I was doing my usually very conservative weight lifting exercises. My knees hurt a little when I finished up as they normally did. Later that week at a picnic, some friends and I decided to throw the football around. I was not prepared and was wearing flip flops. We threw some passes and I did some light running to catch the passesÖetc. We left the picnic and headed to another picnic. My knees hurt more now but I thought it could be because of the recent gym and football stressÖetc. The first rupture happened when I was walking and slipped just slightly in my flip flop. I heard a snap and ended up on the ground. I quickly tried to get up not realizing I actually broke my left quad tendon. I was hopping on the right leg when the right leg broke. Needless to say, as you know, I was down for the count. I spent almost 12 days in the hospital getting repaired and able to come home. 3 days were to prep my body trying to get off the Coumadin. They obviously donít want you to bleed to death. The next 8 days was spent getting my levels back to the levels of Coumadin where I was before. My PTINR or INR had to be between 2-3. After reaching this level of blood thinning, they released me.

My doctor allowed me to put my own weight on both legs(WB) with bledsoe braces set in the straight position. I started therapy two weeks following my operation to repair both QTRís. They attempted bending my legs as far as they could, quad pressing and some electro stimulus patches on my quads. I thought I would push through all the pain from the bending to get me to where my doctor wanted me. (to be able to bend my legs to 90) Pushing through that pain did not seem normal. I stopped going to therapy to let me legs heal more. I told my doctor this as well and he thought it would be best as well. I followed all his instructions and still remained more on the side of caution. Things simply did not seem right that after 4 months I was not able to straighten my leg. I mentioned this several times to my doctor but he simply dismissed it. He told me I could head back to the gym and do light stuff but NO leg extensions. Since I never really liked them anyway I thought it was a good plan.

I finally decided to get a second opinion. I went to a well-known facility here in Philadelphia, PA. They work on a lot of sports injuries and a lot of famous athletes have recommended them. They did xrays and MRIís. This is where they found that the tendons were not attached to the patellas. They are going to perform the re-attachment again but with a tendon augmentation. They will use a cadaver tendon to rebuild my tendon, then attach it the same way they did the first time. I believe the method is the Krakow suture. Not sure what the entire procedure name is. They will do one at a time 2-3 months apart. I go in February 1st, 2013.

So I will tell you this. If you donít think something is right, get a second opinion or simply ask your doc to send you for a follow-up MRI. It was worth simply not thinking I was insane. I guess at this point it is simply dealing with this nightmare all over again.

Offline bglee8

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Re: Bilateral knee surgery
« Reply #7 on: January 06, 2013, 07:33:45 PM »
Guess I may be joining an elite group of QTRs with very few having Bilateral ruptures. On 12/30/12 one week ago today I was at a indoor trampoline park and at the last jump of the day into a foam pit(I have video of when and how the injury happened) I hit the metal bar that secures the trampoline with both my knees(you can even here the crack/pop upon impact). Brought to the ER by ambulance as I could not straighten my legs. Turns out that my left leg has the complete tear of the Quad tendon and the right a partial medial tear. I will have surgery this week on both legs. My concern is how long will it take to be back at work...I am a contractor and I don't get paid if I don't work..more concerning is making sure after surgery and recovery I can come back to a job. My job is a desk job and I am basically in front of a computer all day. i cannot work from home because of the contractual agreement..The Doc/OS told me that if they can accommodate me I can possibly go back in 2 to 3 weeks..I can weight bear on both legs but my left leg is the only one in an immobilizer my right is just in an ace bandage. I watched your youtube videos and was curious on how you got up the first couple weeks.. I can get up but need assistance on making sure my legs don't bend..very painful when they do as you all know. I use the crutches and i can ambulate pretty well on them..How long do you think before I can go into the office.

Offline Pauljohno

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Re: Bilateral knee surgery
« Reply #8 on: January 07, 2013, 08:24:04 AM »
Sorry to hear about your predicament and must caution you to go slow.
Given what you have posted I think that it should be at least 6 weeks post op before you will be back at your office desk.
Rush it all be it on advice as with a previous poster and you could end up worse off than you are now.
Trust me I know how hard it is to get back on your feet and back to work. I went as fast as I could with the exercise and stretches etc. and it still took me nearly 4 months to get back to some form of work. Whilst I tried to keep my self somewhere near fit and returned to work only two days per week. I was totally shattered after only working a 5-6 hour day. I am now back 'full-time' 4-5 months after my op's and I am using my holidays up to only have to work 3 days for the next couple of months.
If you have been told you can weight bare? Have a look on Utube for examples of how to get yourself upright. I started standing up at the 6 week stage out of my wheelchair using both crutches held together and out in front as a tripod in one hand and pushing up with the other hand off the chairs arms. By this time my ROM in both legs was around 90 deg.
That said how are you going to get yourself in your office?

Offline John42

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Re: Bilateral knee surgery
« Reply #9 on: January 08, 2013, 09:57:55 AM »
Hi Pauljohnno

A Ruptured Quadricep Tendon is a very serious injury with a long rehab period - have a look at the RQT thread to read posts placed with persons with a similar injury.

I have compiled a set of documents which will explain your injury and the rehab process - could be up to six months - listen to your knees,  DON`t push it

Let me have your e-mail address, but send it as an e-mail,  and I will send you these documents.

Take care and ASK questions.

JohnK/ Manchester UK
[email protected]
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Pauljohno

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Re: Bilateral knee surgery
« Reply #10 on: January 22, 2013, 07:22:36 PM »
Monday was the five months anniversary of my big slips, double tears and operations.
Getting there slowly and crapping myself walking outside on the snow and ice, in case I slip again.

Everyday gets better, ROM, general movement, what I can leg press, how long I can bike etc. On the plus side I am no longer taking the Rat Poison and the DVT appears to be behaving it's self.
I think it is slow and everybody else thinks itís fast progress. Just on a bloody roller coaster of sort this then that hurts, work on that and the next part of the whole suffers.
Physioí is well happy and says as I know that itís all linked to improving ROM and building strength in my Quads.
Whilst I try and plan out my exercise for the week, I have to put the brakes on and not do too much as this only aggravates what is looking more and more like fat pad problems.
I of cause Ice after exercise and on a night and find this does help. I canít just rest when I am working so hard to get some quad strength and general stability back.
The general tracking of my knees does not look to far out, the Physio tried taping and this made no differences to me.
Still finding any form of squat extremely painful during the eccentric phase and this is only showing slight improvement over the weeks. 
I can gallop up stairs and then have to come down using one crutch and the handrail with pain around the lower outside of both knees.
Reading around I intend  to try squatting on a 45 degree slope board, anybody have suggestions or experience of what is promoted as a magical exercise and solution to knee problems?

Offline Pauljohno

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Re: Bilateral knee surgery
« Reply #11 on: January 23, 2013, 08:20:14 PM »
Start with a thank to John.
Really struggling to come to terms with what happened on the same journey as all the others.
I started Kung Fu when I was 13 was teaching Men by time I was 16, fought full contact semi pro when I was 18.
I was a fat kid, guess in todays world I then went anorexic and started weight training to put weight back on to fight.
Enjoyed weight training more and more, eventually owned gyms for 12 year and competed at a high level.
Hammered myself for years in the who dares wins world of bodybuilding.
Guess I had trained everyday for over 20 odd years by this stage.
Before Thatcher took it all away and I went bankrupt and lost the lot.
Worked physical for a few years before I started what should have been a job for life as a Social Worker, guess the tories are going to take this away again.
Coped with the pressures of Social Work ( I work in child protection) by still going to the gym all be nowhere near how I had previously trained.
I liked to go fishing on my own away from everybody, made cane fishing rodís in a nut shell I never stopped doing something and saw everything as a challenge.
Then bang over I went and it all changes, man enough to say that I have cried more than few times over the last few months.
Treating this as just another challenge all be it a big one.
I had taught exercise, fitness testing, basic physiology in the 90ís at a local college part-time so well versed in exercise and what I have done to myself.
My fitness and stamina has started to come back and I have to stop myself from pushing too hard and stop after 10-15 minutes on the bike, rower etc.
Just when I was feeling good and confident down come the snow and England Ices up. I had a really bad time last week and struggled with the major muscle that keeps my ears apart.
Good to be on here though and see how others have got on, I know it will be a long-time before I get back to anything like what I was.
There will be problems and more challenges to come, hopefully not big ones as associated potential problems linked to what I have done start to come to the fore.
Anybody know where I can get a time machine from?
It would be nice to go back and not go fishing that morning or go forwards and see where I am going to end up.



Offline bglee8

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Re: Bilateral knee surgery
« Reply #12 on: February 02, 2013, 05:27:00 AM »
Paul thanks for the advice..I am 3 wks post op and by doctors orders began using the CPM 1 week post op at 15degrees one hour a day..Now at 3wks post op I am at 50 degrees.OS said I could increase 15 degrees each week.. I am still using both braces of course as my OS says at least 6wks.  I am trying to be patient with myself as not to re-injure.. I use a walker to get around the house and can do things like stand at the sink and shave..Not so dependent upon my wife which is good for everybody..6 wks I guess is realistic time to go back to work based on other people who have posted..I am hopefully that I will have a job to go back to after 6wks.

Offline Pauljohno

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Re: Bilateral knee surgery
« Reply #13 on: February 08, 2013, 06:36:35 PM »
Bglee :)
Well done it takes time to realise how life changing doing what we have done is hard to adjust too. Try not to remember how it was and how I struggled, guess this is balenced with the victories and remembering how I felt when I could carry my first drink on my own, being able to turn over in bed etc.

My battle goes on: 5 1/2 months point.
Guess on balence I would have to say things are going well, saw the Physio for the first time in two weeks on Thursday, feeling very sore and creaky. I asked not to do any exercise and use the opportunity for him to give me a good check over.
Good news is that I now have nearly normal range of movement back in both my legs, without pulling them I was above 130 degrees on each. He pulled this way and that and could find nothing to be stressed about, apart from my right knee cap being a bit looser than my left one. It all still hinges on me getting my quads back to some form of real strength and the odd pains in my knees are linked to this.
Back news is I am still on a real roller coaster of this hurts one day and the next day it is some thing else. I have been getting a lot of back and hip pain this week whilst is was my left ankle last week. I can never forget them and get up every morning waiting for my next pain to develop. It was so bad on Monday I thought I had so form of fever. Having avoided pain killers I had a good look around on naturals for pain killers and anti inflam's, so I have started on the magic devils claw, bought some green tea and after reading again bought some magic, ginger and tumeric tea.
if nothing else these may help balence the negative effects of the beer, ciggies, coffee and white sugar.
I have just bought an Electro stimulation machine, to give the buggers a bit more of a kick, without me having to put more strain on my poorly knee's. I just have to shave the contact points on my legs and off we go. (guess what I am going to do tonight )
So can't grumble can I
« Last Edit: February 08, 2013, 06:42:50 PM by Pauljohno »

Offline Pauljohno

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Re: Bilateral knee surgery
« Reply #14 on: March 25, 2013, 07:20:33 PM »
Just past the 7 months point and I can now say I have more good days than bad.
My life still is one big rehab exercise, going to the gym 4 times a week.
I can ride the stationary bike at higher and higher settings for as long as I like, never do more than 30 minutes as I like to hit my legs from different angles.
Yesterday I managed the stair climber without hanging on to the handles.
I tend to have one mainly weights session, leg presses (post screw up PB now 10 reps @ 360 kg whow), leg curls (seated or lying) adductor and abductors, calf raises (seated or standing) and leg raises in various forms often with a weighted ball between my feet.
The next session will be bike, climber and lots of floor exercises and stretches.
Then a mixture of weights but mainly quads only.
Back to bike and stretches and then around again the next week.
My right knee is still the weaker one but its getting there. Not so much problems with other bits hurting although my left achilles still hurts off and on.
It often seems that I feel I am making slow or little progress then I find I can do something that I could not do the week before.
Still icing after exercise and I wished I had bought the elecy thing earlier as I don't need it now.
I like the Hydro therapy pool and I always use this at the end, stretching and stretching and more stretching. With a bit more on my right leg I must be nearly back to the ROM I had pre the big slips. Finally getting some shape back in my legs, not that I want to compete again, just nice to know my quads are growing and getting stronger.
Still no were near the old style feeling that a good leg workout gave me, way back when.
Whilst I can feel my hamstring are occassionaly sore still not had really sore quads.